C09974951 / invoice 10000

Reason: RecheckAppointment Notes: Seeing nurses first for BP check then BJHistory: Like a new dogPerkier; no longer panting.Breathing has settled. Nice slow RR like it used to be.Belly less full PD/PU; gets up during the night to urinate. Can take herself off & back on the bed.Reduced appetite in the mornings. Will eat treats thoughMr thinks is fretting for him whilst at work.Will eat all her dinner, but has to be hand-fed for this. Found that making her evening meal later has helped.Examination: QARHM gd 5HR about 160, but this was after BP readings done Nurses had taken BP reading on Mindray - size 3 cuffR HL104/85 (89)223/126 (153)230/134 (152)222/139 (156)208/141 (149)L HL194/118 (143)224/130 (154)200/109 (139)Attempted Doppler reading - 250 to 260 Tried size 2 cuff on Mindray 198/123 (166) Blood taken PCV 41%Mr declined liver enzyme recheck; will just do kidney parameters todaySDMA upper end normal 14 & so is creat 158Urea mildly incr 10.8K low normal 3.6Will email results to Allhearts & then let Leanne know plan    Vital Signs    Weight: 11.1;